Department of Otolaryngology, Head and Neck Surgery, Wayne State University, 4201 St. Antoine, 5E-UHC, Detroit, MI 48201, USA.
Department of Otolaryngology, Head and Neck Surgery, Wayne State University, 4201 St. Antoine, 5E-UHC, Detroit, MI 48201, USA.
Otolaryngol Clin North Am. 2020 Oct;53(5):765-777. doi: 10.1016/j.otc.2020.05.006. Epub 2020 Jun 18.
A literature review was conducted regarding the assessment and treatment of postoperative pain following surgery for obstructive sleep apnea (OSA). Given the risks of opioid use by patients with OSA, special attention to opioid risk reduction and avoidance is warranted in this population. The results of this review demonstrate the existence of a body of evidence that supports the use of nonopioid analgesics and nonpharmacologic approaches pain management. Strategies for managing postoperative pain should emphasize the use of local anesthetic infiltration, nonsteroidal antiinflammatory drugs, acetaminophen, topical analgesics, surgical wound cooling, and when necessary, safer opioid medications, such as tramadol and intranasal butorphanol.
进行了一篇关于阻塞性睡眠呼吸暂停（OSA）手术治疗后疼痛评估和治疗的文献回顾。鉴于 OSA 患者使用阿片类药物存在风险，因此在该人群中应特别注意减少和避免阿片类药物的风险。本综述的结果表明，有大量证据支持使用非阿片类镇痛药和非药物方法来管理疼痛。管理术后疼痛的策略应强调局部麻醉浸润、非甾体抗炎药、对乙酰氨基酚、局部镇痛药、手术伤口冷却，以及在必要时使用更安全的阿片类药物，如曲马多和鼻内布托啡诺。
